Individual
CHUCK STAATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S06187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00558M
BLUE CROSS BLUE SHIELD
TX
05
—
064152401
—
TX
01
—
123721
SUPERIOR
TX
01
—
125047
MHN MANAGED HEALTH NETWOR
TX
01
—
5241400
AETNA BEHAVIORAL HEALTH
TX
Enumeration date
07/19/2005
Last updated
10/09/2012
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